THE FOLLOWING INFORMATION WAS OBTAINED FROM THE PHYSICIAN REGISTER SECTION OF THE WEBSITE OF THE COLLEGE OF PHYSICIANS AND SURGEONS OF ONTARIO (WWW.CPSO.ON.CA) AS OF THE DATE AND TIME NOTED BELOW
10/02/25 20:34:08 PM

General Information

Former Name: No Former Name
Medical School: Peruana Cayetano Heredia University, 2001
Gender: Man
Languages Spoken: ENGLISH, FRENCH, SPANISH

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 18 May 2010
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: May 18 2010
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: All radiology medical records are located at the hospitals, where patients were seen.
Date Received: 12 May 2014

Hospital Privileges

No information available

General Information

Former Name: No Former Name
Gender: Man
Languages Spoken: ENGLISH, FRENCH, SPANISH
Medical School: Peruana Cayetano Heredia University, 2001

Practice Information

Primary Business Location: Address not Available
Business Email: No Information Available
Phone: No Information Available
Fax: No Information Available

Specialties

SPECIALTY ISSUED ON CERTIFYING BODY
Diagnostic Radiology
Effective: 18 May 2010
Royal College of Physicians and Surgeons of Canada
SPECIALTY: Diagnostic Radiology
ISSUED ON: Effective: May 18 2010
CERTIFYING BODY: Royal College of Physicians and Surgeons of Canada

Medical Records Location

Instructions/Address: All radiology medical records are located at the hospitals, where patients were seen.
Date Received: 12 May 2014

Hospital Privileges

No information available

Practice Conditions

This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.
This physician is inactive (Expired, Resigned, Suspended, Revoked, or Deceased) and is not permitted to practise medicine.

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Current Tribunal Proceedings

No information available

Past Tribunal Proceedings

No information available

Training

Medical School: Peruana Cayetano Heredia University, 2001

Registration History

DETAILS DATE
Expired: Resigned from membership. Effective: 01 Jun 2014
Subsequent certificate of registration issued: Independent Practice Certificate Effective: 30 Jun 2010
Expired: Terms and conditions of certificate of registration Effective: 16 Nov 2007
First certificate of registration issued: Postgraduate Education Certificate Effective: 22 Oct 2007
DETAILS: Expired: Resigned from membership.
Date: Effective: 01 Jun 2014
DETAILS: Subsequent certificate of registration issued: Independent Practice Certificate
Date: Effective: 30 Jun 2010
DETAILS: Expired: Terms and conditions of certificate of registration
Date: Effective: 16 Nov 2007
DETAILS: First certificate of registration issued: Postgraduate Education Certificate
Date: Effective: 22 Oct 2007